| NPI | 1285201830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701012710) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704013938) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2023-09-18 |